Patient in the question is presenting with a testicular tumor with retroperitoneal lymph node mass, treatment of choice in such a patient is multi agent chemotherapy followed by excision of persistent masses. A 90% cure rate is seen in stage II patients and a 70% cure rate in stage III patients receiving combination chemotherapy with bleomycin, etoposide, and cisplatin. Ref: Bailey and Love's Sho Practice of Surgery, 24th Edition, Pages 1413-4; CURRENT Diagnosis and Treatment: Surgery By Gerard M. Dohey, 13th Edition, Chapter 38.